Individual
ALICIA KELLY KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2475 32ND AVE S STE 1, GRAND FORKS, ND 58201-3606
(701) 775-4209
Mailing address
17050 28TH ST SE, HARWOOD, ND 58042-9710
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH6444
ND
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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